Minimally invasive cervical micro-endoscopic foraminotomy for C6 radiculopathy with overlooked scapular winging - A case report.

Abstract

A 73-year-old woman complained of right medial side of scapular pain associated with winged scapula to miss without observing the back in minute detail. Additional treatment was required due to overlooking caused by insufficient examination. We performed micro-endoscopic foraminotomy that provided the disappearance of scapular pain and improvement of winged scapula in relatively early. It was commonly said that winged scapula is an extremely rare condition that causes dysfunction of the upper extremities. We suggest that there are the meaning of winged scapula in diagnosis and the importance of physical examination. Further studies should be required to research the morbidity of winged scapula associated with cervical disease. By sharing our experience of this attention arousing case, we provide information not to repeat the same mistakes. J. Med. Invest. 66 : 340-343, August, 2019.

• Authors: Yoshihiro Ishihama, Fumitake Tezuka, Hiroaki Manabe, Kazuta Yamashita, Yoichiro Takata, Toshinori Sakai, Takashi Chikawa, Koichi Sairyo
• Journal: The journal of medical investigation : JMI (J Med Invest) Vol. 66 Issue 3.4 Pg. 340-343 ( 2019) ISSN: 1349-6867 [Electronic] Japan
• PMID: 31656301 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Cervical Vertebrae (surgery)
• Endoscopy (methods)
• Female
• Foraminotomy (methods)
• Humans
• Minimally Invasive Surgical Procedures (methods)
• Radiculopathy (diagnostic imaging, surgery)
• Scapula (diagnostic imaging, pathology)